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Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
BACKGROUND: Cervical cancer ranks as the most common cancer among Nepalese women with a high incidence and mortality. Despite evidence that effective screening programs reduce disease burden, screening services are under-utilized. Cancer stigma can be a major barrier to cervical cancer screening upt...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194964/ https://www.ncbi.nlm.nih.gov/pubmed/37200234 http://dx.doi.org/10.1371/journal.pone.0285771 |
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author | Paneru, Bandana Karmacharya, Aerona Bharati, Alina Makaju, Soniya Adhikari, Bikram Kafle, Dikshya Shakya, Sunila Spiegelman, Donna Seth, Sangini Stangl, Anne Shrestha, Aamod Dhoj Shrestha, Archana |
author_facet | Paneru, Bandana Karmacharya, Aerona Bharati, Alina Makaju, Soniya Adhikari, Bikram Kafle, Dikshya Shakya, Sunila Spiegelman, Donna Seth, Sangini Stangl, Anne Shrestha, Aamod Dhoj Shrestha, Archana |
author_sort | Paneru, Bandana |
collection | PubMed |
description | BACKGROUND: Cervical cancer ranks as the most common cancer among Nepalese women with a high incidence and mortality. Despite evidence that effective screening programs reduce disease burden, screening services are under-utilized. Cancer stigma can be a major barrier to cervical cancer screening uptake among Nepalese women. OBJECTIVES: This study assessed the association between cancer stigma and cervical cancer screening uptake among women residing in semi-urban areas of Kavrepalanchok district (Dhulikhel and Banepa), Nepal. METHODS: We conducted a cross-sectional study among 426 women aged 30–60 years using telephone interview method from 15(th) June to 15(th) October 2021. A validated Cancer Stigma Scale (CASS) was used to measure cancer stigma and categorized women as presence of cancer stigma if the mean total score was greater than three. We obtained information on cervical cancer screening uptake through self-reported responses. Univariable and multivariable logistic regression were performed to assess the association between cancer stigma and cervical cancer screening uptake. We adjusted socio-demographic: age, ethnicity, occupation, religion and education, and reproductive health variables: parity, family planning user, age of menarche and age at first sexual intercourse during multivariable logistic regression. RESULTS: Twenty-three percent of women had cancer stigma and 27 percent reported that they had ever been screened for cervical cancer. The odds of being screened was 0.23 times lower among women who had stigma compared to those who had no stigma (95% CI: 0.11–0.49) after adjusting for confounders: age, ethnicity, occupation, religion, education, parity, contraceptive use, age of menarche and age at first sexual intercourse. CONCLUSION: Women residing in semi-urban areas of Nepal and had cancer stigma were less likely to have been screened for cervical cancer. De-stigmatizing interventions may alleviate cancer stigma and contribute to higher uptake of cervical cancer screening. |
format | Online Article Text |
id | pubmed-10194964 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-101949642023-05-19 Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal Paneru, Bandana Karmacharya, Aerona Bharati, Alina Makaju, Soniya Adhikari, Bikram Kafle, Dikshya Shakya, Sunila Spiegelman, Donna Seth, Sangini Stangl, Anne Shrestha, Aamod Dhoj Shrestha, Archana PLoS One Research Article BACKGROUND: Cervical cancer ranks as the most common cancer among Nepalese women with a high incidence and mortality. Despite evidence that effective screening programs reduce disease burden, screening services are under-utilized. Cancer stigma can be a major barrier to cervical cancer screening uptake among Nepalese women. OBJECTIVES: This study assessed the association between cancer stigma and cervical cancer screening uptake among women residing in semi-urban areas of Kavrepalanchok district (Dhulikhel and Banepa), Nepal. METHODS: We conducted a cross-sectional study among 426 women aged 30–60 years using telephone interview method from 15(th) June to 15(th) October 2021. A validated Cancer Stigma Scale (CASS) was used to measure cancer stigma and categorized women as presence of cancer stigma if the mean total score was greater than three. We obtained information on cervical cancer screening uptake through self-reported responses. Univariable and multivariable logistic regression were performed to assess the association between cancer stigma and cervical cancer screening uptake. We adjusted socio-demographic: age, ethnicity, occupation, religion and education, and reproductive health variables: parity, family planning user, age of menarche and age at first sexual intercourse during multivariable logistic regression. RESULTS: Twenty-three percent of women had cancer stigma and 27 percent reported that they had ever been screened for cervical cancer. The odds of being screened was 0.23 times lower among women who had stigma compared to those who had no stigma (95% CI: 0.11–0.49) after adjusting for confounders: age, ethnicity, occupation, religion, education, parity, contraceptive use, age of menarche and age at first sexual intercourse. CONCLUSION: Women residing in semi-urban areas of Nepal and had cancer stigma were less likely to have been screened for cervical cancer. De-stigmatizing interventions may alleviate cancer stigma and contribute to higher uptake of cervical cancer screening. Public Library of Science 2023-05-18 /pmc/articles/PMC10194964/ /pubmed/37200234 http://dx.doi.org/10.1371/journal.pone.0285771 Text en © 2023 Paneru et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Paneru, Bandana Karmacharya, Aerona Bharati, Alina Makaju, Soniya Adhikari, Bikram Kafle, Dikshya Shakya, Sunila Spiegelman, Donna Seth, Sangini Stangl, Anne Shrestha, Aamod Dhoj Shrestha, Archana Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal |
title | Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal |
title_full | Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal |
title_fullStr | Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal |
title_full_unstemmed | Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal |
title_short | Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal |
title_sort | association between cancer stigma and cervical cancer screening uptake among women of dhulikhel and banepa, nepal |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194964/ https://www.ncbi.nlm.nih.gov/pubmed/37200234 http://dx.doi.org/10.1371/journal.pone.0285771 |
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